A COmmunity and Tech-Based ApproaCh for Hypertension Self-MANagement
| Status: | Not yet recruiting |
|---|---|
| Conditions: | High Blood Pressure (Hypertension) |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 30 - Any |
| Updated: | 2/1/2019 |
| Start Date: | January 31, 2019 |
| End Date: | September 30, 2019 |
| Contact: | Carolyn H Still, PhD |
| Email: | cwh11@case.edu |
| Phone: | 216-368-6338 |
A COmmunity and Tech-Based ApproaCh for Hypertension Self-MANagement (COACHMAN)
The prevalence of hypertension among U.S. adults increased from 32% to 46% and African
Americans are disproportionately impacted. Self-managing hypertension presents challenges
such as dealing with complex treatment regimen, including critical components of recommended
hypertension treatment such as self-blood pressure monitoring, and lifestyle modifications
involving diet, exercise, and tobacco cessation. African Americans with hypertension have
lower adherence to self-management behavior due to multifactorial reasons. Substantial
evidence has demonstrated the important role of community support in improving patients'
self-management of a variety of chronic illnesses, though integrating technology in such
programs are rarely offered.
The purpose of this study is to investigate the effectiveness of a community outreach program
using a technology-based intervention (TBI) to support self-managing hypertension (called
COACHMAN) to improve BP control.
Americans are disproportionately impacted. Self-managing hypertension presents challenges
such as dealing with complex treatment regimen, including critical components of recommended
hypertension treatment such as self-blood pressure monitoring, and lifestyle modifications
involving diet, exercise, and tobacco cessation. African Americans with hypertension have
lower adherence to self-management behavior due to multifactorial reasons. Substantial
evidence has demonstrated the important role of community support in improving patients'
self-management of a variety of chronic illnesses, though integrating technology in such
programs are rarely offered.
The purpose of this study is to investigate the effectiveness of a community outreach program
using a technology-based intervention (TBI) to support self-managing hypertension (called
COACHMAN) to improve BP control.
COACHMAN targets barriers to hypertension knowledge, medication adherence, problem solving
skills, patient-provider communication, and social support in an effort to improve blood
pressure control.
The investigators will conduct a two-arm randomized control trial (RCT) using a community
participatory research approach and mixed methods to evaluate the efficacy of TBI
intervention with community support (Coachman) compared to enhance usual care (ECU) among 40
African Americans with uncontrolled hypertension.
The investigators aim to:
1. Identify key content, design, and resources from a community of stakeholders, including
determining facilitators and barriers of hypertension self-management among African
Americans that will inform the development of COACHMAN using a mixed methods approach
methods.
2. Evaluate the feasibility and acceptability of COACHMAN to improve BP control.
3. Compare the difference in BP control between Technology-based intervention (TBI) and
Enhanced usual care (EUC).
skills, patient-provider communication, and social support in an effort to improve blood
pressure control.
The investigators will conduct a two-arm randomized control trial (RCT) using a community
participatory research approach and mixed methods to evaluate the efficacy of TBI
intervention with community support (Coachman) compared to enhance usual care (ECU) among 40
African Americans with uncontrolled hypertension.
The investigators aim to:
1. Identify key content, design, and resources from a community of stakeholders, including
determining facilitators and barriers of hypertension self-management among African
Americans that will inform the development of COACHMAN using a mixed methods approach
methods.
2. Evaluate the feasibility and acceptability of COACHMAN to improve BP control.
3. Compare the difference in BP control between Technology-based intervention (TBI) and
Enhanced usual care (EUC).
Inclusion Criteria:
- self-identifying as African American
- age 30 years or older
- diagnosed with hypertension, with a blood pressure >140/80 mmHg
- prescribed at least one antihypertensive medication
- able to read and understand English
- own a smartphone
Exclusion Criteria:
- history of cognitive impairment
- currently using a medication management app
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